Individual
GINA VITZTHUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
351 HOSPITAL RD, SUITE 401, NEWPORT BEACH, CA 92663-3509
(949) 642-6787
(949) 642-4833
Mailing address
351 HOSPITAL RD, SUITE 401, NEWPORT BEACH, CA 92663-3509
(949) 642-6787
(949) 642-4833
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
NP12701
CA
Other
Enumeration date
07/06/2006
Last updated
07/08/2007
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